临床医生如何在远程医疗中为患者管理计划做出决定
Yuhan Zhang1,2, Louise Stayt1,2, Sheera Sutherland1
1Oxford University Hospital NHS Foundation Trust, Oxford, UK.
Journal of advanced nursing
|February 21, 2024
概括
在远程医疗中,临床医生的决策是复杂的,受患者,临床医生和外部因素的影响. 了解这些要素对于安全有效的虚拟患者护理至关重要.
科学领域:
- 医疗保健管理的管理
- 临床决策支持 临床决策支持
- 数字健康数字健康
背景情况:
- 由于数字进步和COVID-19大流行,远程医疗的采用激增.
- 与传统的面对面护理相比,远程医疗存在独特的风险.
- 远程医疗的决策过程仍然不完全理解.
研究的目的:
- 探索临床医生为远程医疗中的患者管理计划的决策过程.
- 确定影响虚拟护理环境中临床判断的因素.
主要方法:
- 由Whittemore和Knafl (2005) 指导的系统整合性文献评论.
- 在2022年11月和2023年10月的六个主要数据库 (CINAHL,PsycInfo,学术搜索完整,PubMed,科学网络,谷歌学者) 中进行搜索.
- 专题综合用于数据分析.
主要成果:
- 10篇文章满足了最初382.2的资格标准.
- 包括的研究包括定性,定量和混合方法设计.
- 出现了五个主要主题:远程医疗决策特征,患者因素,临床医生因素,临床决策支持系统 (CDSS) 因素和外部影响因素.
结论:
- 远程医疗决策是一个复杂的认知过程.
- 它受到患者,临床医生,技术和外部因素的影响.
- 需要在临床推理方面提高透明度,以减轻远程医疗风险.
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